Spring Harbor Hospital
123 Andover Rd, Westbrook, ME · MaineHealth · · NPI 1598798787
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $66.32 – $249.28 | 6 |
| Diagnostic Mammogram (both breasts) CPT 77066 | not published | not published | $44.98 – $96.75 | 5 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $36.54 – $78.45 | 5 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $85.22 – $85.22 | 2 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $182.63 – $3,568.26 | 6 |
| Dialysis one evaluation CPT 90945 | not published | not published | $82.37 – $172.16 | 5 |
| Dialysis repeated eval CPT 90947 | not published | not published | $115.89 – $245.36 | 5 |
| Dialysis training complete CPT 90989 | not published | not published | $619.14 – $849.28 | 3 |
| Dialysis training incompl CPT 90993 | not published | not published | $134.18 – $185.03 | 3 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.06 – $14.90 | 5 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.07 – $0.14 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $5.45 – $12.56 | 4 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $20.33 – $47.99 | 4 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.08 – $0.47 | 5 |
| Diffusing capacity CPT 94729 | not published | not published | $8.32 – $17.61 | 5 |
| Digital analysis of eeg CPT 95957 | not published | not published | $95.97 – $202.66 | 5 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $167.65 – $362.63 | 5 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $7.17 – $28.09 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $4,777.44 – $9,177.19 | 5 |
| Digoxin total therapeutic drug level CPT 80162 | not published | not published | $13.28 – $27.04 | 4 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $42.34 – $79.29 | 4 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $125.18 – $941.21 | 6 |
| Dilate esophagus CPT 43453 | not published | not published | $82.16 – $1,524.57 | 6 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $75.57 – $361.07 | 6 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $445.35 – $765.70 | 5 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $222.68 – $383.47 | 5 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $633.92 – $1,090.04 | 5 |
| Dilate tear duct opening CPT 68801 | not published | not published | $76.80 – $185.68 | 6 |
| Dilate urethra stricture CPT 53600 | not published | not published | $60.21 – $170.89 | 6 |
| Dilate urethra stricture CPT 53601 | not published | not published | $50.50 – $165.76 | 6 |
| Dilate urethra stricture CPT 53605 | not published | not published | $59.86 – $128.10 | 5 |
| Dilate urethra stricture CPT 53621 | not published | not published | $67.69 – $314.17 | 6 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $39.39 – $147.12 | 6 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $163.70 – $348.39 | 5 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $45.67 – $150.98 | 6 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $185.29 – $394.47 | 5 |
| Dilation of salivary duct CPT 42660 | not published | not published | $75.95 – $216.52 | 6 |
| Dilation of urethra CPT 53661 | not published | not published | $38.08 – $144.55 | 6 |
| Dilation of urethra CPT 53665 | not published | not published | $35.12 – $75.91 | 5 |
| Dilation of vagina CPT 57400 | not published | not published | $122.95 – $265.01 | 5 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $57.57 – $144.55 | 6 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $82.18 – $327.66 | 6 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $142.56 – $296.88 | 5 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $236.33 – $491.40 | 5 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $54.55 – $114.88 | 3 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $8.45 – $17.02 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $680.82 – $1,306.55 | 5 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $4.05 | $4.05 | $0.02 – $3.81 | 6 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $9.03 | $9.03 | $0.80 – $8.49 | 6 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $35.25 – $104.50 | 3 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $3.72 – $7.19 | 4 |
| Direct advanced life support CPT 99288 | not published | not published | $403.47 – $403.47 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $28.69 – $58.97 | 5 |
| Disability dlco CPT 94727 | not published | not published | $11.24 – $23.77 | 5 |
| Disaccharidases CPT 82657 | not published | not published | $22.17 – $45.14 | 4 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $461.69 – $980.78 | 5 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,075.76 – $2,300.46 | 5 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,385.85 – $2,976.21 | 5 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $187.33 – $420.92 | 5 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $53.43 – $114.59 | 5 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $68.07 – $171.33 | 4 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $164.70 – $414.61 | 4 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $92.44 – $197.25 | 4 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,421.82 – $3,157.86 | 5 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $93.87 – $197.25 | 4 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $338.94 – $744.23 | 5 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $1,026.93 – $2,263.85 | 5 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,051.58 – $2,305.20 | 5 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $753.22 – $1,620.61 | 5 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $320.73 – $692.04 | 5 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $11.80 – $36.25 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $262.70 – $581.56 | 5 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $279.00 – $568.10 | 4 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $274.83 – $559.61 | 4 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $278.96 | 4 |
| Dna antibody native/double stranded CPT 86225 | not published | not published | $13.74 – $27.98 | 4 |
| Dna gardnerella CPT 87510 | not published | not published | $20.05 – $40.83 | 4 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $46.32 | 4 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $54.73 | 4 |
| Dna trichomonas CPT 87660 | not published | not published | $20.05 – $40.83 | 4 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $7.58 – $17.80 | 4 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.64 – $1.67 | 4 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $49.08 – $49.08 | 2 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $6.17 – $7.45 | 3 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $61.52 – $115.90 | 3 |
| Domicil/r-home visit est pat CPT 99334 | not published | not published | $95.71 – $115.10 | 2 |
| Domicil/r-home visit est pat CPT 99335 | not published | not published | $149.75 – $181.43 | 2 |
| Domicil/r-home visit est pat CPT 99336 | not published | not published | $211.13 – $258.31 | 2 |
| Domicil/r-home visit est pat CPT 99337 | not published | not published | $304.58 – $369.93 | 2 |
| Domicil/r-home visit new pat CPT 99324 | not published | not published | $87.82 – $105.47 | 2 |
| Domicil/r-home visit new pat CPT 99325 | not published | not published | $127.80 – $152.80 | 2 |
| Domicil/r-home visit new pat CPT 99326 | not published | not published | $220.13 – $265.11 | 2 |
| Domicil/r-home visit new pat CPT 99327 | not published | not published | $293.87 – $355.74 | 2 |
| Domicil/r-home visit new pat CPT 99328 | not published | not published | $340.61 – $418.63 | 2 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.77 – $1.57 | 4 |
| Doppler echo complete CPT 93320 | not published | not published | $16.76 – $35.44 | 5 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $65.66 – $147.57 | 5 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | not published | not published | $19.87 – $43.37 | 5 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | not published | not published | $11.01 – $24.02 | 5 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.81 – $1.36 | 3 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.